Organization Active NPI

Your Time Online Therapy Services

  • Mental Health Counselor
  • Bryn Mawr, PA
National Provider Identifier
1083378392
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
YOUR TIME ONLINE THERAPY SERVICES
Practice address
100 Chetwynd Dr Ste 203
Bryn Mawr, PA 19010-1453
Phone
(267) 471-2322
NPI assigned
Oct 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Neal King, LCSWNPI 1588984926
Title
Owner
Phone
(267) 471-2322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

100 Chetwynd Dr Ste 203
Bryn Mawr, PA 19010-1453

Mailing address

29 Carpenter LN
Philadelphia, PA 19119-2522
Phone (267) 471-2322

National Provider Directory

National Provider Directory

Locations

100 Chetwynd Dr
Ste 203
Bryn Mawr, PA 19010
Phone (267) 471-2322

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1083378392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CARPENTER LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192522",
            "telephone_number": "267-471-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHETWYND DR STE 203",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101453",
            "telephone_number": "267-471-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR TIME ONLINE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-471-2322",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.